Code: Q9969

Description:
Description: Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
Non-heu Tc-99m Add-on/dose
TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS
HC NON-HEU TC-99M ADD-ON/DOSE
Non+AC0-heu tc+AC0-99m add+AC0-on/dose
Related codes:
Code: Q9960
HOCM 200-249 IC 1ML
Code: Q9961
HOCM 250-299 IC 50ML
Code: Q9962
HOCM 300-349 IC 50ML
Code: Q9963
GASTROGRAFN PO 367 120ML
Code: Q9964
HOCM 400 OR MORE IC 1ML
Code: Q9965
LOCM 100-199 IC 1ML
Code: Q9966
LOCM 200-299 IC 50ML
Code: Q9967
LOCM 300-399 IC 50ML
Code: Q9968
METHYL BLUE 100 MG INJ
Michigan
Hospital Address Code Price Last Updated
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q9969 $13 [source] 3 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q9969 $13 [source] 3 years ago
St. John Providence 28000 Dequindre Rd, Warren Q9969 $14 [source] 3 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q9969 $14 [source] 3 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor Q9969 $47 [source] 3 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton Q9969 $47 [source] 3 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q9969 $47 [source] 3 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q9969 $47 [source] 3 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q9969 $47 [source] 3 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q9969 $47 [source] 3 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q9969 $47 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.